Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.17 / $107.77 / $266.98	Facility		$32.17	$107.77	$266.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.04 / $29.64 / $56.33	Professional		$21.04	$29.64	$56.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $18.71 / $18.71	Professional		$18.71	$18.71	$18.71
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $84.29 / $120.34 / $77,850.02	Facility		$84.29	$120.34	$77,850.02
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $30.27 / $31.42 / $49.76	Professional		$30.27	$31.42	$49.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.33 / $64.86 / $261.12	Facility		$30.33	$64.86	$261.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.46 / $35.14 / $57.92	Professional		$23.46	$35.14	$57.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $40.61 / $49.08	Professional		$33.14	$40.61	$49.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.30 / $100.86 / $411.56	Facility		$92.30	$100.86	$411.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $36.06 / $105.20 / $266.98	Facility		$36.06	$105.20	$266.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $32.17 / $70.54	Professional		$21.22	$32.17	$70.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.93 / $34.40 / $71.90	Professional		$31.93	$34.40	$71.90
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $60.42 / $342.91	Facility		$28.97	$60.42	$342.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $34.76 / $57.56	Professional		$23.93	$34.76	$57.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $27.50 / $30.38 / $30.38	Facility		$27.50	$30.38	$30.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $30.38 / $32.97	Professional		$27.50	$30.38	$32.97
United Facility/Professional Professional Modifier Low / Median / High Price $24.66 / $31.42 / $54.53	Professional		$24.66	$31.42	$54.53